Department of Family Practice, Faculty of Medicine, University of British Columbia, Vancouver, Canada.
Acad Med. 2011 Sep;86(9):1108-13. doi: 10.1097/ACM.0b013e318226b43b.
There is a growing demand for educating future physicians to be socially responsible. It is not clear, however, how social responsibility is understood and acted on in medical education and practice, particularly within the context of a growing desire to improve health care through an equitable and sustainable delivery system. The authors conduct a concept analysis, exploring the practical philosophical understanding of social responsibility and its implications for medical education and practice. The aim is to inform curricular development, professional practice, and further research on social responsibility. The particular ways in which social responsibility is interpreted can either enhance or establish limits on how it will appear across the continuum of medical education and practice. A physician's place in society is closely tied to a moral sense of responsibility related to the agreed-on professional characteristics of physicianhood in society, the capacity to carry out that role, and the circumstances under which such professionals are called to account for failing to act appropriately according to that role. The requirement for social responsibility is a moral commitment and duty developed over centuries within societies that advanced the notion of a "profession" and the attendant social contract with society. A curriculum focused on developing social responsibility in future physicians will require pedagogical approaches that are innovative, collaborative, participatory, and transformative.
培养未来医生承担社会责任的需求日益增长。然而，在通过公平和可持续的医疗服务体系来改善医疗服务的愿望日益强烈的背景下，医学教育和实践中如何理解和践行社会责任尚不清楚。作者进行了概念分析，探讨了社会责任的实践哲学理解及其对医学教育和实践的影响。目的是为课程开发、专业实践以及关于社会责任的进一步研究提供信息。社会责任的解释方式可以增强或限制其在医学教育和实践连续体中的表现。医生在社会中的地位与一种道德责任感密切相关，这种责任感与社会公认的医生职业特征、履行该角色的能力以及在未能根据该角色适当行动的情况下，专业人员被要求承担责任的情况下有关。对社会责任的要求是几个世纪以来在推动“职业”概念和随之而来的社会契约的社会中形成的道德承诺和责任。关注培养未来医生社会责任的课程将需要创新、协作、参与和变革性的教学方法。
